Skip to main content

Advertisement

SpringerLink
Log in

Lower urinary tract symptoms in women with pelvic organ prolapse

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

The objective of this study was to describe lower urinary tract symptoms (LUTS) and urinary incontinence (UI) symptoms in women with prolapse.

Methods

LUTS were measured with the urinary distress inventory (UDI) and UI symptoms with UDI and the Medical, Epidemiological and Social Aspects of Aging (MESA) in women with POPQ stage ≥I support. UI symptoms were classified as stress- or urge-only, stress-predominant or urge-predominant mixed, or mixed. Bladder function was assessed by urodynamics. Bi- and multivariable analyses were performed.

Results

Three hundred thirty-six women aged 62 ± 13 years were characterized by UDI scores as having mixed 72% (n = 242), urge-only 24% (n = 80), and stress-only <1% (n = 1) UI symptoms. Of subjects with mixed UI symptoms, 57% (n = 137) were stress-predominant and 43% (n = 105) were urge-predominant. In multivariable regression models, advancing age and prolapse were associated with less reported distress related to stress UI symptoms. Prior hysterectomy was associated with higher total UDI scores. Similar findings were noted with MESA.

Conclusions

Mixed UI symptoms are the predominant symptom type in women with POP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Burrows L, Meyn L, Walters M, Weber A (2004) Pelvic symptoms in women with pelvic organ prolapse. Obstet Gynecol 104:982–988

    PubMed  Google Scholar 

  2. Ghetti C, Gregory W, Edwards S, Otto L, Clark A (2005) Pelvic organ descent and symptoms of pelvic floor disorders. Am J Obstet Gynecol 193:53–57

    Article  PubMed  Google Scholar 

  3. Bradley C, Nygaard I, Womens Health Initiative (2005) Vaginal wall descensus and pelvic floor symptoms in older women. Obstet Gynecol 106:759–766

    PubMed  Google Scholar 

  4. Mouritsen L, Larsen J (2003) Symptoms, bother and POPQ in women referred with pelvic organ prolapse. Int Urogynecol J 14:122–127

    Article  Google Scholar 

  5. Ellerkmann R, Cundiff G, Melick C, Nihira M, Leffler K, Bent A (2001) Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol 185:1332–1338

    Article  CAS  PubMed  Google Scholar 

  6. Romanzi L, Chaikin D, Blaivas J (1999) The effect of genital prolapse on voiding. J Urol 161:581–586

    Article  CAS  PubMed  Google Scholar 

  7. Coates K, Harris R, Cundiff G, Bump R (1997) Uroflow in women with urinary incontinence and pelvic organ prolapse. Br J Urol 80:217–221

    CAS  PubMed  Google Scholar 

  8. Friis E, Hjortrup A, Nielsen J, Sanders S, Walter S (1982) Urinary incontinence and genital prolapse: a prospective blind study of the value of urodynamic evaluation. J Urol 128:764–765

    CAS  PubMed  Google Scholar 

  9. Bump R, Mattiasson A, Bo K, Brubaker L, DeLancey J, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17

    Article  CAS  PubMed  Google Scholar 

  10. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126

    Article  PubMed  Google Scholar 

  11. Barber M, Kuchibhatla M, Pieper C, Bump R (2001) Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol 185:1388–1395

    Article  CAS  PubMed  Google Scholar 

  12. Brubaker L, Cundiff GW, Fine P, Nygaard I, Richter HE, Visco AG, Pelvic Floor Disorders Network et al (2006) Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 354:1557–1566

    Article  CAS  PubMed  Google Scholar 

  13. Albo M, Richter H, Brubaker L et al (2007) Burch colposuspension versus fascial sling to reduce urinary stress incontinence. NEJM 356:2143–2155

    Article  CAS  PubMed  Google Scholar 

  14. Weber A, Abrams P, Brubaker L, Cundiff G, Davis G, Dmochowski R et al (2001) The standardization of terminology for researchers in female pelvic floor dysfunction. Int Urogyn J 12:178–186

    Article  CAS  Google Scholar 

  15. Herzog A, Fultz N (1990) Prevalence and incidence of urinary incontinence in community-dwelling populations. JAGS 38:273–281

    CAS  Google Scholar 

  16. Chapple C (2006) Classification of mixed incontinence. Eur Urol S 5:837–841

    Article  Google Scholar 

  17. Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapsed in the Women's Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166

    Article  PubMed  Google Scholar 

  18. Hannestad Y, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. J Clin Epidem 53:1150–1157

    Article  CAS  Google Scholar 

  19. Richardson D, Bent A, Ostergard D (1983) The effect of uterovaginal prolapse on urethrovesical pressure dynamics. Am J Obstet Gynecol 146:901–905

    CAS  PubMed  Google Scholar 

  20. Brown JS, Sawaya G, Thom DH, Grady D (2000) Hysterectomy and urinary incontinence: a systematic review. Lancet 356:535–539

    Article  CAS  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Division of Urogynecology, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, UPMC-Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA, 15213, USA

    Jerry L. Lowder, Elizabeth A. Frankman, Chiara Ghetti, Pamela Moalli & Halina Zyczynski

  2. The Center for Vulvovaginal Disorders, Washington, DC, USA

    Lara J. Burrows

  3. Division of Obstetric and Gynecologic Infectious Diseases, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Marijane A. Krohn

Authors
  1. Jerry L. Lowder
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Elizabeth A. Frankman
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chiara Ghetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lara J. Burrows
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Marijane A. Krohn
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Pamela Moalli
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Halina Zyczynski
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jerry L. Lowder.

Additional information

Reprints are not available from author.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lowder, J.L., Frankman, E.A., Ghetti, C. et al. Lower urinary tract symptoms in women with pelvic organ prolapse. Int Urogynecol J 21, 665–672 (2010). https://doi.org/10.1007/s00192-009-1088-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-009-1088-2

Keywords

Search

Navigation